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Medical Forum / General / Cardiology / September 2006Angina Pain?
Hello, Can you please tell, how angina pain is related to hypertention or hypotention AND to vasodilating and vasoconstricted conditions (muscular tone)? Best wishes. > Hello, > > Can you please tell, how angina pain is related to hypertention or > hypotention AND to vasodilating and vasoconstricted conditions > (muscular tone)? No. Do your own homework. Quit relying on your sockpuppet master Chung. > Hello, > > Can you please tell, how angina pain is related to hypertention or > hypotention AND to vasodilating and vasoconstricted conditions > (muscular tone)? Typical angina is not related to vascular smooth muscle tone. May GOD continue to keep your heart beating, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > Hello, > > [quoted text clipped - 3 lines] > > Typical angina is not related to vascular smooth muscle tone. But can it be related to type of blood flow? Can't vasodilation effect or dull blood supply in heart region? > May GOD continue to keep your heart beating, dear neighbor Kumar whom I > love unconditionally. [quoted text clipped - 12 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > Hello, > > > [quoted text clipped - 22 lines] > > > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? Sorry, but it is indicated:- "Ranexa [Ranolazine] has antianginal and anti-ischemic effects that do not depend upon reductions in heart rate or blood pressure. The mechanism of action of ranolazine is unknown. It does not increase the rate-pressure product, a measure of myocardial work, at maximal exercise. http://www.rxlist.com/cgi/generic4/ranexa_cp.htm " As mechanism of action of ranolazine is unknown, it can't be said how it works--by vasodilation, by vasoconstriction, or some other mechanism. Can you tell effect of hypotensive medicine and NO based on angina pain? > > > Hello, > > > [quoted text clipped - 5 lines] > > But can it be related to type of blood flow? No. May GOD continue to keep your heart beating, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > Hello, > > > > [quoted text clipped - 7 lines] > > No. Whether angina pain occurs more in hypotensive or hypertensive people? Whether angina pain is related to heart's muscle tone? > May GOD continue to keep your heart beating, dear neighbor Kumar whom I > love unconditionally. [quoted text clipped - 12 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > Hello, > > > > > [quoted text clipped - 9 lines] > > Whether angina pain occurs more in hypotensive or hypertensive people? Hypertension is a risk factor for developing angina pectoris. May GOD continue to keep your heart beating, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > Hello, > > > > > > [quoted text clipped - 11 lines] > > Hypertension is a risk factor for developing angina pectoris. Can vasodilator induced hypotension and hypovolemia cause angina pain esp. in view of this:- "Common causes of hypovolemia are dehydration, bleeding, severe burns and drugs such as diuretics or **vasodilators typically used to treat hypertensive individuals. Field Care Emergency oxygen should be immediately employed to increase the efficiency of the patient's remaining blood supply. This intervention can be life-saving. http://en.wikipedia.org/wiki/Hypovolemia " O2 deficiency may still occur in these cases as indicated above. > May GOD continue to keep your heart beating, dear neighbor Kumar whom I > love unconditionally. [quoted text clipped - 12 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > > Hello, > > > > > > > [quoted text clipped - 32 lines] > > > > Andrew <>< more to add;- "Angina is a type of heart-related chest pain. This pain occurs because your heart is not getting enough blood and oxygen. Angina pain can be similar to the pain of a heart attack. Angina is called stable angina when your chest pain begins at a predictable level of activity. (For example, when you walk up a steep hill.) However, if your chest pain happens unexpectedly after light activity or occurs at rest, this is called unstable angina. This is a more dangerous form of angina and you need to be seen in an emergency room right away." http://www.nlm.nih.gov/medlineplus/ency/article/003079.htm The two types of angina pain, one pain begins after activity and predictable (stable angina) other at rest or after light activity. How it can happen? Relaxed conditions may be related to rest and light activity whereas contracted conditions may be related to exertion and stress? > > > > > > > Hello, > > > > > > > [quoted text clipped - 25 lines] > > O2 deficiency may still occur in these cases as indicated above. Angina pectoris is typically exertional. May GOD continue to keep your heart beating, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > > > Hello, > > > > > > > > [quoted text clipped - 27 lines] > > Angina pectoris is typically exertional. "Angina is a type of heart-related chest pain. This pain occurs because your heart is not getting enough blood and oxygen. Angina pain can be similar to the pain of a heart attack. Angina is called stable angina when your chest pain begins at a predictable level of activity. (For example, when you walk up a steep hill.) However, if your chest pain happens unexpectedly after light activity or occurs at rest, this is called unstable angina. This is a more dangerous form of angina and you need to be seen in an emergency room right away." http://www.nlm.nih.gov/medlineplus/ency/article/003079.htm The two types of angina pain, one pain begins after activity and predictable (stable angina) other at rest or after light activity. How it can happen? Relaxed conditions may be related to rest and light activity whereas contracted conditions may be related to exertion and stress? > May GOD continue to keep your heart beating, dear neighbor Kumar whom I > love unconditionally. [quoted text clipped - 12 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > > > > Hello, > > > > > > > > > [quoted text clipped - 43 lines] > predictable (stable angina) other at rest or after light activity. How > it can happen? Because of plaque rupture/fissure. May GOD continue to keep your heart beating, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > > > > > Hello, > > > > > > > > > > [quoted text clipped - 45 lines] > > Because of plaque rupture/fissure. It does not clarify and differenciate, how two type of angina pain begins either at rest or at exertion? > May GOD continue to keep your heart beating, dear neighbor Kumar whom I > love unconditionally. [quoted text clipped - 12 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > > > > > > Hello, > > > > > > > > > > > [quoted text clipped - 48 lines] > It does not clarify and differenciate, how two type of angina pain > begins either at rest or at exertion? There is angina pectoris when heart muscle is getting less blood that it needs. For stable angina, the blockage is an atherosclerotic plaque without clot that reduces circulation to heart muscle to a degree that is insufficient only when the heart is working harder during exertion. For unstable angina, the blockage is a ruptured/fissured atherosclerotic plaque which is causing the formation of clot that causes a reduction of circulation to heart muscle to a degree that is insufficient for the heart even at rest. May GOD continue to keep your heart beating, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > May GOD continue to keep your heart beating, dear neighbor Kumar whom I > > love unconditionally. [quoted text clipped - 12 lines] > > > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > > > > > > > Hello, > > > > > > > > > > > > [quoted text clipped - 60 lines] > causes a reduction of circulation to heart muscle to a degree that is > insufficient for the heart even at rest. Yes, thanks. Can angina type pain is also possible in case of dilated blood vessels,varicose veins, prolonged relaxed conditions of vascular muscles, distolic dysfunction, enlargement of heart or due to hypovolemia? > May GOD continue to keep your heart beating, dear neighbor Kumar whom I > love unconditionally. [quoted text clipped - 29 lines] > > > > > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > > > > > > > > Hello, > > > > > > > > > > > > > [quoted text clipped - 100 lines] > > > > > > > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > > > > > > > > > Hello, > > > > > > > > > > > > > > [quoted text clipped - 100 lines] > > > > > > > > > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? Under sympathetic system's influence Cor. arteries dilate whereas constrict in para sympathetic influence. Can't parasympathetic effect cause decreased supply of blood due to constriction of CAs resulting into angina pain esp. in people with lesser working of heart? > Under sympathetic system's influence Cor. arteries dilate whereas > constrict in para sympathetic influence. Can't parasympathetic effect > cause decreased supply of blood due to constriction of CAs resulting > into angina pain esp. in people with lesser working of heart? When the coronary arteries have normal endothelial function, they dilate only when the heart needs more blood and are not influenced by the state of the autonomic nervous system. May GOD continue to heal your heart by curing your diabetes, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). > > Under sympathetic system's influence Cor. arteries dilate whereas > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 4 lines] > dilate only when the heart needs more blood and are not influenced by > the state of the autonomic nervous system. " Heart rate and force increased" is one indicated on effects of sympathetic stimulation. http://faculty.washington.edu/chudler/auto.html On link, I previously gave, constriction of CAs was indicated on sympathetic stimulation for the reason to shunt blood to muscles to fight or flight. Whether contriction of CVs causes "Heart rate and force increased"? > May GOD continue to heal your heart by curing your diabetes, dear > neighbor Kumar whom I love unconditionally. [quoted text clipped - 10 lines] > unconditional love they have for everyone including their enemies > (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 13 lines] > > Whether contriction of CVs causes "Heart rate and force increased"? No. Sympathetic nervous system activation does not cause constriction of normal coronary arteries. May GOD continue to heal your heart by curing your diabetes, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 16 lines] > No. Sympathetic nervous system activation does not cause constriction > of normal coronary arteries. Indication on 2nd link, I previously gave were; on sympathetic system's stimulation Cor. arteries dilate whereas constrict on para-sympathetic influence. ?? "Heart rate and force increased" under sympathetic stimulaton whereas "Heart rate and force decreased" on parasympathetic stimulation. http://faculty.washington.edu/chudler/auto.html Can constriction of cor.arteries cause angina pain? > May GOD continue to heal your heart by curing your diabetes, dear > neighbor Kumar whom I love unconditionally. [quoted text clipped - 12 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 20 lines] > stimulation Cor. arteries dilate whereas constrict on para-sympathetic > influence. ?? The latter is incorrect. Normal coronary arteries are responsive to the needs of the heart and not the state of the autonomic nervous system. > "Heart rate and force increased" under sympathetic stimulaton whereas > "Heart rate and force decreased" on parasympathetic stimulation. > http://faculty.washington.edu/chudler/auto.html > > Can constriction of cor.arteries cause angina pain? Yes. We call this variant angina. May GOD continue to heal your heart by curing your diabetes, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 24 lines] > the needs of the heart and not the state of the autonomic nervous > system. How heart rate decreased on para-sympathtic stimulation will effect Cor.arteries? > > "Heart rate and force increased" under sympathetic stimulaton whereas > > "Heart rate and force decreased" on parasympathetic stimulation. [quoted text clipped - 3 lines] > > Yes. We call this variant angina. Can't heart rate decreased effect cor. arteries tone? > May GOD continue to heal your heart by curing your diabetes, dear > neighbor Kumar whom I love unconditionally. [quoted text clipped - 12 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 27 lines] > How heart rate decreased on para-sympathtic stimulation will effect > Cor.arteries? It does not effect normal coronary arteries. > > > "Heart rate and force increased" under sympathetic stimulaton whereas > > > "Heart rate and force decreased" on parasympathetic stimulation. [quoted text clipped - 5 lines] > > Can't heart rate decreased effect cor. arteries tone? No. May GOD continue to heal your heart by curing your diabetes, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 26 lines] > > Can constriction of cor.arteries cause angina pain? Can't vasodilations/shunting of more blood elsewhere effect bloof flow in CAs? > > May GOD continue to heal your heart by curing your diabetes, dear > > neighbor Kumar whom I love unconditionally. [quoted text clipped - 12 lines] > > > > http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 29 lines] > Can't vasodilations/shunting of more blood elsewhere effect bloof flow > in CAs? Not when there is normal anatomy (ie no anomolies). May GOD continue to heal your heart by curing your diabetes, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 31 lines] > > Not when there is normal anatomy (ie no anomolies). Can't there be some problem due to vasospasm? > May GOD continue to heal your heart by curing your diabetes, dear > neighbor Kumar whom I love unconditionally. [quoted text clipped - 12 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 33 lines] > > Can't there be some problem due to vasospasm? Not from shunting. If you are having angina pain, it would be wise for you to inform your doctor(s). With your having diabetes, you are risk for developing occlusive coronary atherosclerosis. May GOD continue to heal your heart by curing your diabetes, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > May GOD continue to heal your heart by curing your diabetes, dear > > neighbor Kumar whom I love unconditionally. [quoted text clipped - 12 lines] > > > > http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 37 lines] > you to inform your doctor(s). With your having diabetes, you are risk > for developing occlusive coronary atherosclerosis. With GOD's grace, special on me, people's prayers, Not as yet, but I observed some chest/shoulder pain on taking healing agent meant for relaxing muscle's tone but reversed on discontinuing same. That may also stimulate parasympatheic influence. > May GOD continue to heal your heart by curing your diabetes, dear > neighbor Kumar whom I love unconditionally. [quoted text clipped - 29 lines] > > > > > > http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 42 lines] > relaxing muscle's tone but reversed on discontinuing same. That may > also stimulate parasympatheic influence. Would suggest you seek a referral to consult with a cardiologist about your chest/shoulder pains. May GOD continue to heal your heart by curing your diabetes, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > > > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 45 lines] > Would suggest you seek a referral to consult with a cardiologist about > your chest/shoulder pains. It is just transient/temporary. Heart tests are clear. Can it be just muscular pain? > May GOD continue to heal your heart by curing your diabetes, dear > neighbor Kumar whom I love unconditionally. [quoted text clipped - 12 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > > > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > > > > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 45 lines] > > Would suggest you seek a referral to consult with a cardiologist about > > your chest/shoulder pains. > It is just transient/temporary. Heart tests are clear. Can it be just > muscular pain? It would still be wise to get a second opinion from a cardiologist because you have diabetes. May GOD continue to heal your heart by curing your diabetes, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > > > > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > > > > > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 45 lines] > > > Would suggest you seek a referral to consult with a cardiologist about > > > your chest/shoulder pains. Yes thanks. I do it occasionally. I can run,exert, climb normally even more than people of my age, thanks to my healing agents, faith in LORD an with best wishes of near and dears one, alike you. > > It is just transient/temporary. Heart tests are clear. Can it be just > > muscular pain? [quoted text clipped - 18 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > > > > > > > > > Under sympathetic system's influence Cor. arteries dilate whereas > > > > > > > > > > > > > > constrict in para sympathetic influence. Can't parasympathetic effect [quoted text clipped - 49 lines] > more than people of my age, thanks to my healing agents, faith in LORD > an with best wishes of near and dears one, alike you. Would still be wise to get a second opinion from a cardiologist because you have diabetes. May GOD continue to heal your heart by curing your diabetes, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/a77da2d26da0ab97? > > > > > > > > > > > > > Hello, > > > > > > > > > > > > > [quoted text clipped - 67 lines] > muscles, distolic dysfunction, enlargement of heart or due to > hypovolemia? No. May GOD continue to keep your heart beating, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > > > > > > > > > Hello, > > > > > > > > > > > > > > [quoted text clipped - 69 lines] > > No. Can vasodilation elsewhere decrease blood supply in CAs? Can prolonged relaxed conditions of muscles cause any type of chest pain which may look alike angina pain? > May GOD continue to keep your heart beating, dear neighbor Kumar whom I > love unconditionally. [quoted text clipped - 12 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > > > > > > > > > > Hello, > > > > > > > > > > > > > > > [quoted text clipped - 69 lines] > > > > No. > Can vasodilation elsewhere decrease blood supply in CAs? Not typically. One exception is when there is an IMA bypass present. May GOD continue to keep your heart beating, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > > > > > > > > > > > > Hello, > > > > > > > > > > > > > > > > [quoted text clipped - 73 lines] > > Not typically. One exception is when there is an IMA bypass present. Thanks. > May GOD continue to keep your heart beating, dear neighbor Kumar whom I > love unconditionally. [quoted text clipped - 12 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? <snip> > > > Can vasodilation elsewhere decrease blood supply in CAs? > > > > Not typically. One exception is when there is an IMA bypass present. > > Thanks. You are welcome. All thanks and praises belong to GOD whom I love with all my being. May GOD continue to keep your heart beating, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > <snip> > > > [quoted text clipped - 24 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? Can't heart/CV related role of parasymphetic system of relaxation cause angina pain? > > <snip> > > > > [quoted text clipped - 13 lines] > Can't heart/CV related role of parasymphetic system of relaxation cause > angina pain? No. May GOD continue to heal your heart by curing your diabetes, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > <snip> > > > > > [quoted text clipped - 15 lines] > > No. In some, either in those who were already in parasymphetic system's influence and added rexation causing agents OR in those, who, previously persistently were under symphetic influence(tolerant/habituated) but shifted acutely from symphetic to parasymphetic under influence of some relaxation causing agent? We may have to add more in our understandinf, effects by pesisting hammerings on nervous systems by new/modern environment and lifestyle May GOD continue to heal your heart by curing your diabetes, dear > neighbor Kumar whom I love unconditionally. > [quoted text clipped - 11 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > <snip> > > > > > > [quoted text clipped - 21 lines] > influence(tolerant/habituated) but shifted acutely from symphetic to > parasymphetic under influence of some relaxation causing agent? No. > We may have to add more in our understandinf, effects by pesisting > hammerings on nervous systems by new/modern environment and lifestyle Vascular inflammation has a greater impact on endothelial dysfunction than anything from the autonomic nervous system. May GOD continue to heal your heart by curing your diabetes, dear neighbor Kumar whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > <snip> > > > > > [quoted text clipped - 32 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Dr. Chung, You say that nonexertional angina is cause for an emergency room visit. I think I had Prinzmetal's angina for years from a virus in the heart. This angina would come at any time but never during exertion. It took some high bloodpressure and 80 proof rum to kill that virus. What followed was an occasional mild angina for a long time that I eliminated with Omega3 fish oil gels, 1000 MG per diem. Right now I am angina-free... except during a blood pressure spike. The last spike occurred at the end of 30 days with a pesky case of West Nile. It hit 167/105 pulse 78 when I was at a Walmart. I did not panic. The angina was mild. I went to my car and took a dose of beta blocker and HCTZ. Then I walked over to Barnes & Nobles, ordered a Starbucks and read the newspaper. One hour later the BP fell to 150/91 pulse 67, and the West Nile was history. The anecdotal message here must be that HBP and/or high fever can knock out a microbe ....if the HBP or the fever doesn't kill you first. Cheers, David H ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ > > > > <snip> > > > > > > [quoted text clipped - 38 lines] > You say that nonexertional angina is cause for an emergency > room visit. Where have I written this ? > I think I had Prinzmetal's angina for years from a virus in > the heart. Viruses don't cause Prinzmetal's. > This angina would come at any time but never during exertion. It > took some high bloodpressure and 80 proof rum to kill that virus. Neither would kill a virus which never lived in the first place. May GOD continue to keep your heart beating, dear neighbor David whom I love unconditionally. Prayerfully in Christ's amazing love, Andrew <>< -- Andrew B. Chung Cardiologist, Atlanta, Georgia, USA http://HeartMDPhD.com/HolySpirit As for knowing who are the very elect, these you will know by the unconditional love they have for everyone including their enemies (Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17). http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? > > > > > <snip> > > > > > > > [quoted text clipped - 67 lines] > > http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Dr. Andrew, What is the cause of Prinzmetal's ? The description in the Merck Manual fitted my symptoms exactly. I had the angina symptom for years on account of smoking. The symptom persisted from 1993 (when I quit) to 2003 (when I drank the pint of rum during HBP). I say it was from smoking because a nurse shoved an EKG graph in my face in 1988 and implied I had a defective EKG from nicotine. Sic Transit Gloria Mundi, David H ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ from smoking. > Hello, > [quoted text clipped - 3 lines] > > Best wishes. Perhaps you would be able to find your answer in these research findings about Angina. ERICA: PAY CLOSE ATTENTION TO TABLE 6 summary...shows RAN080 http://www.box.net/public/mlhibotgd5 MERLIN: http://www.box.net/public/9y0o6et40x > > Hello, > > [quoted text clipped - 13 lines] > MERLIN: > http://www.box.net/public/9y0o6et40x Thanks, I shall read it. But I am trying to understand what can happen if one is not hypertensive or his heart not working effeciently and then he take some natural or synthetic vasodilator? Can then he get angina pain or any other type of chest pain? >Hello, > [quoted text clipped - 3 lines] > >Best wishes. Maybe if you and Harold didn't go to White Castle for sliders quite as often you wouldn't have to deal with angina. >> Hello, >> [quoted text clipped - 6 lines] > Maybe if you and Harold didn't go to White Castle for sliders quite as > often you wouldn't have to deal with angina. There's nothing he can do anyway. Both of them are going to die. > Can you please tell, how angina pain is related to hypertention or > hypotention AND to vasodilating and vasoconstricted conditions > (muscular tone)? When blood flow is reduced to a particular segment of your myocardium (causing it to become ischaemic as a consequence of low amounts of Oxygen being delivered to those O2-hungry muscle cells), commonly as a result narrowing of your coronary arteries that supply it, one would experience a specific type of chest pain called 'angina pectoris'. In other words, oxygen demand by the myocardium is not met by oxygen supply - hence on exertion, one typically experience pain when there is a greater degree of demand not being able to be handled by the ischaemic tissue. Therefore any altered state of the vasculature resulting in demand not being met by supply would result in ischaemia and thus causing angina pectoris. > > Can you please tell, how angina pain is related to hypertention or > > hypotention AND to vasodilating and vasoconstricted conditions [quoted text clipped - 11 lines] > Therefore any altered state of the vasculature resulting in demand not being > met by supply would result in ischaemia and thus causing angina pectoris. Yes, thanks but I was trying to understand, can it be possible due to reduced blood supply as a result of vasodilation & hypotension or due to relaxed conditions of muscles in CV system? > Yes, thanks but I was trying to understand, can it be possible due to > reduced blood supply as a result of vasodilation & hypotension or due > to relaxed conditions of muscles in CV system? As metabolism of the myocardium is an aerobic one, any condition that causes myocardial ischaemia, can also cause angina pectoris. You would be better off studying the determinants of myocardial ischaemia to gain a better understanding of angina. In hypotension there is a decrease in coronary perfusion pressure resulting in poor supply of oxygen and nutrients to the myocardium - clinically manifesting as angina - i.e when poor delivery does not meet demand ... If relaxation of the heart can be achieved by lowering its rate, there would be reduced consumption of oxygen and nutrients. As myocardial ischaemia and heart rate are linearly correlated, beta-blockers are used in stable angina to reduce the hearts rate. PS: angina is only manifested in a great majority of people - it does not reflect the degree of ischaemia. > > Yes, thanks but I was trying to understand, can it be possible due to > > reduced blood supply as a result of vasodilation & hypotension or due [quoted text clipped - 8 lines] > in poor supply of oxygen and nutrients to the myocardium - clinically > manifesting as angina - i.e when poor delivery does not meet demand ... Can we relate vasodilation or relaxed condition of vascular muscles with hypotension in this regard? > If relaxation of the heart can be achieved by lowering its rate, there would > be reduced consumption of oxygen and nutrients. As myocardial ischaemia and [quoted text clipped - 3 lines] > PS: angina is only manifested in a great majority of people - it does not > reflect the degree of ischaemia. Many thanks. I think then, there can be problem on exertion or when heart rate is increased, if patient is on hypotensive medicines or getting vasodilation due to any other reason--natural or unnatural? |
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